Background: Coronavirus disease-2019 (COVID-19) pandemic has pushed the traditional practice of classroom teaching to technology-based online classes. Objective: To assess the satisfaction level among the nursing students with web-based learning at a prestigious nursing institution affiliated to a tertiary care center of India. Materials and methods: A cross-sectional study design was employed. A standardized questionnaire on Satisfaction of Online Learning Instrument was sent to 521 undergraduate and postgraduate nursing students through various WhatsApp groups; of which, 310 students responded. Results: 98.7% of the study participants were females. The majority of the students were undergoing Bachelor in Nursing course. The highest percent scores (68%) regarding satisfaction were obtained on the domain “effectiveness of feedback” followed by the domain “Dialogue between teachers and students”. Conclusion: The majority of the students felt dissatisfied with online learning. However, online teaching served as a boon in this time of the pandemic.

Cervical cancer is the most common cancer in Indian females. India reports one-fourth of the total world's cervical cancer each year that results in 17% of all women's death from this disease globally. More than 80% of cervical cancer in India is caused by human papilloma virus (HPV). The current study aimed to assess the level of awareness and acceptability of HPV vaccine among urban women attending outpatient department (OPD) of Gynecology, PGIMER, Chandigarh. Materials and methods: A total of 200 women attending the OPD of Gynecology, PGIMER, Chandigarh, for any gynecological complaint were included in the study. Inclusion criteria included sexually active adult females with willingness to participate in the survey. All participants were assessed for the etiology of cancer cervix and available screening modalities for cervical precancerous lesions using a preformed questionnaire. Special emphasis was laid on—whether the subjects were aware about its availability, cost, dosing schedule, and the efficacy of HPV vaccine. Result: Among all, 11% of subjects were aware that early coitus and early pregnancy are predisposing factor for cervical cancer. Human papilloma virus is sexually transmitted infection and the most common cause of cervical cancer was known to 13% of subjects; however, <3% were aware that HPV infection is transient and there is no treatment available for this. About 25% subjects were aware that Pap smear was the screening modality. Only 11% were aware that cervical cancer can be prevented by HPV vaccine. Conclusion: There is a lack of awareness for the etiology, predisposing factors, available screening method, and vaccine for the prevention of cervical cancers among sexually active Indian females. Further emphasis on the awareness of HPV infection and vaccine should be made among female population.

Aim: We did this study as a pilot project to plan the future research work in the field, with the aim to study the incidence and epidemiology of scapular fractures. Results of the study would be helpful in identifying the mass impact of the injury to the trauma victim and laying down the training curriculum. Materials and methods: It was a cross-sectional study from July 1, 2018, to December 31, 2018; all patients presented to our level 1 trauma center with polytrauma and shoulder injuries were screened for fracture of the scapula. The demographic details, mode and mechanism of injury, associated injury, severity, and fracture pattern of all patients with scapula fracture were recorded. Patients were evaluated for concomitant injuries. Results: Out of total 1,730 patients presenting to the Advanced Trauma Center, PGIMER, Chandigarh, between July 2018 and December 2018, 44 (2.3%) patients were diagnosed with scapular fractures. Total 63.4% (28) of patients sustained various associated injuries. Clinical significance: Results of this study have raised the awareness that fractures of the scapula are on the rise compared to what was thought previously. Conclusion: Our study mandates the need of more dedicated screening methodology at the busy trauma center, which could reduce the chances of missed scapular fracture. Moreover, we could be able to identify more frequent fracture patterns and area of research specific to our setting.

Drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome or drug-induced hypersensitivity syndrome or anticonvulsant hypersensitivity syndrome is a delayed hypersensitivity drug rash that occurs 2–6 weeks after starting anticonvulsants, sulphonamides, or antibiotics. It is characterized by a triad of fever, rash, and systemic manifestations with an overall mortality of 10%. We reported a 1½-year-old girl who was a known case of structural West syndrome and was on phenobarbitone, valproate, and levetiracetam. She presented with fever, rash, liver dysfunction, and eosinophilia. Diagnosis of DRESS was considered and was treated with IV methylprednisolone following which she showed rapid defervescence, healing of rash, and improvement in liver dysfunction within the next 4 days. Rapid response to specific therapy made us report this case.

Biosecure Bubbles have enabled the return of sports during the COVID-19 pandemic. West Indies Cricket was involved in the first international sporting event with a tour to England. The Caribbean Premier League (CPL) was the first Cricket League and was held in Trinidad and Tobago. Extensive planning and adaptation to local conditions were required, and all involved had to be constantly updated and provide consent. The English Bubble was “contained” in that all facilities resided within one area: hotel, training, and match facilities. Persons were moved from one geographical area into the bubble. The CPL Bubble was “Water in glove” in which it had to extend to different areas. A single hotel housed the cohort but separate training and playing locations required managed movement. Interactions between those in the Bubble and those outside had to be coordinated and separated. This review describes the functioning of the two Bubbles and highlights the differences between the two models. Both were predicated on cohort education, repeated testing, and adherence to social distancing and hygiene. Yet both differed significantly in their construct and execution.

Obesity is the second leading preventable cause of death globally. India has the dubious distinction of housing the third-highest number of obese people in the world. Obesity leads to several comorbid conditions that practically affect every organ of the body. Long-term results of medical therapy and lifestyle interventions for morbid obesity are dismal. Bariatric surgery has proven to be superior to medical therapy in terms of weight loss and resolution of comorbidities. Bariatric metabolic surgery may be offered to patients with body mass index (BMI) ≥37.5 kg/m², with or without any obesity-related comorbidity, or BMI ≥32.5 kg/m² with two or more obesity-related comorbidities. Surgery for morbid obesity would not be indicated if patients do not show a desire to adhere to long-term dietary advice or take nutritional supplements. Bariatric procedures can be classified into three types: mainly restrictive [vertical banded gastroplasty (historical), adjustable gastric banding, sleeve gastrectomy], mainly malabsorptive (duodenal switch, biliopancreatic diversion), and a combination of the two (gastric bypass). With advances in technology and the demand for less invasive weight loss therapy, all the above-mentioned procedures can be performed laparoscopically or with a robot. Endoscopic procedures and devices including intragastric balloons, endoluminal suturing, aspiration systems, and many other experimental therapies are also being tried. Post-bariatric surgery, patients have to follow a strict dietary regimen and take supplements lifelong. This review article provides a broad overview of surgical treatment of obesity and metabolic syndrome.

The debate on euthanasia once again re-embark on the recent legalization of passive euthanasia by the Supreme Court of India, with that India has joined leagues of counties where euthanasia is legal in some, or the other form. On one side, the Supreme Court decision brought a ray of hope to some while some have expressed their apprehensions. This is important to understand what has changed over the period, how the dynamics of forces working around euthanasia, some in favor or opposition, has changed over the period, so passive euthanasia has become a possibility now. This review is an attempt to revisit this controversial yet important concept of euthanasia in the current context.

Reality Check The graphical display in contrast to the tabular presentation is associated with the visual system. It is easy to remember and retrieve complex information with graphs. Therefore, graphs are increasingly used to communicate the data. There are various types of charts that are available in the literature. However, pie chart, bar chart, and line chart are the most frequently used graphs. The digital ecosystem along with raging COVID-19 pandemic has further accelerated the data flow through a graphical display. However, due to clutter, many visual displays are unclear and inefficient for effective communication. Therefore, it is critical to know the fundamental of the graphical display. In this regard, the researcher has a few questions: • Are there general rules for graphical display? • Are there specific rules to make an effective pie chart? • Are there specific rules to make an effective bar chart? • Are there specific rules to make an effective line chart?